Status:
NOT_YET_RECRUITING
Fast TILs to Treat Metastatic Cancer Patients With Pleural Disease
Lead Sponsor:
David Bartlett, MD
Collaborating Sponsors:
Miltenyi Biotec, Inc.
Iovance Biotherapeutics, Inc.
Conditions:
Malignant Pleural Effusion
Malignant Mesothelioma
Eligibility:
All Genders
18-79 years
Phase:
PHASE1
Brief Summary
This research study aims to evaluate the safety and effectiveness of a novel immunotherapy, Fast TIL, an Adoptive Cellular Therapeutic (ACT), to fight cancer that has spread to the pleura or pleural m...
Detailed Description
This is a first-in-human Phase 1 trial of short-term expanded pleural T cells to treat cancer metastatic to the pleura. Expanded cells will be delivered intrapleurally in combination with intrapleural...
Eligibility Criteria
Inclusion
- Patients with symptomatic, biopsy-proven malignant to the pleura, or mesothelioma with pleural effusions. Patients must have received and be refractory to available standard of care (SOC) therapy specific to their cancer type and must have exhausted or failed available standard of care with clinical benefit.
- Patients will be ≥ 18 and \< 80 years of age.
- Female patients of childbearing potential must have a negative urine or serum pregnancy test and if sexually active must use an acceptable method of contraception, including abstinence, a barrier method (diaphragm or condom), an injectable contraceptive (such as Depo-Provera), or an oral contraceptive. Active contraception should continue for at least 6 months after ACT administration. Male participants must be willing to practice birth control from the time of enrollment on this study and for 6 months after receiving the preparative regimen.
- Cardiac ejection fraction ≥ 0.45 by Multiple-Gated Acquisition (MUGA) or echocardiography.
- No requirement for supplemental oxygen and no dyspnea immediately after effusion drainage.
- Karnofsky performance score ≥ 70.
- Patients must have an expected survival \> 12 weeks.
- Patients must be able to comprehend the risks and methods used in this clinical trial and independently consent to participate.
- Patients must consent to collection of demographic and clinical data.
Exclusion
- Patients with breast, kidney, lung, pancreatic, prostate, ovarian, rare cancers, and melanoma.
- Infection with Human Immunodeficiency Virus (HIV) and active viral replication. Patients with an undetectable viral load on Anti-retroviral Therapy (ART) can be considered for participation on this protocol.
- Infection with hepatitis B and active viral replication.
- Infection with hepatitis C and active viral replication.
- Patients currently being treated for bacterial, fungal or viral infection.
- Documented myocardial infarction within 6 months of study participation and/or symptomatic coronary artery or valvular disease or uncontrolled arrhythmia.
- Investigational drug use within 30 days before effusion collection.
- Cytotoxic anti-cancer or radiation therapy administration within 2 weeks of effusion collection. The exclusion does not apply to patients receiving monoclonal antibody therapy targeting immune checkpoint molecules.
- Corticosteroid therapy \> 10 milligrams (mg) of prednisone (biological equivalent) daily within 2 weeks before effusion collection.
- Immunosuppressive therapy that cannot be stopped for 4 weeks prior to effusion collection as deemed by the prescribing physician.
- Laboratory abnormalities that indicate clinically significant hematological, hepatobiliary, or renal disease:
- AST/SGOT \> 2.0 times the upper limit of normal ALT/SGPT \> 2.0 times the upper limit of normal Total bilirubin \> 2.0 times the upper limit of normal, unless patient has Gilbert Syndrome (\>3.0 times the upper limit of normal) Hemoglobin \< 8 gm/dL or dependent upon transfusion to maintain ≥ 8 gm/dL White blood cell count \< 2,000/mm3 Platelet count \< 100,000/mm3 or dependent upon transfusion to maintain ≥ 100,000 mm3 Creatinine \> 2.0 times the upper limit of normal or calculated creatinine clearance ≤ 40 mL/min.
- Pregnant or lactating females.
- Prior solid organ transplantation
- Patients who, in the opinion of the Investigator, will be non-compliant with study schedules or procedures.
- Patients who belong to a vulnerable population such as the homeless, the developmentally disabled and prisoners or have any condition that impairs their ability to provide informed consent or comply with study schedules or procedures.
- Patients with documented anaphylaxis as a result of penicillin allergy.
Key Trial Info
Start Date :
October 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 1 2037
Estimated Enrollment :
10 Patients enrolled
Trial Details
Trial ID
NCT07192900
Start Date
October 1 2025
End Date
October 1 2037
Last Update
September 25 2025
Active Locations (1)
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1
AHN West Penn Hospital
Pittsburgh, Pennsylvania, United States, 15224